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City faces steep medical insurance premium hikes amid rising costs

October 17, 2024 | Sandpoint, Bonner County, Idaho


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City faces steep medical insurance premium hikes amid rising costs
During a recent government meeting, officials discussed significant changes to the city's medical insurance premiums, highlighting a notable increase in costs for the upcoming year. The city has been negotiating with Regence Blue Shield, which initially proposed a staggering 41.79% increase. After negotiations, this was reduced to 25%. To mitigate the impact of this increase, the city is seeking authorization to release funds from the medical premium stabilization reserve, established in 2022, which would lower the effective increase to approximately 18.125%.

The discussion revealed that the city's medical insurance costs are heavily influenced by employee demographics and utilization rates. Autumn Porter from Halo Insurance explained that the average age of employees and the recent hiring of younger individuals could contribute to higher costs due to increased healthcare utilization. The city currently covers about 85% of employee medical premiums, with employees contributing around 14.8%.

In contrast, the city's dental and vision insurance premiums remain unchanged, attributed to lower utilization rates and existing multi-year agreements. The dental plan is self-funded, which has helped maintain stable costs, while the vision plan is locked in for two years.

The meeting also touched on the city's long-standing partnership with Regence Blue Shield, which has seen fluctuations in premium rates over the years. Officials expressed concerns about the sustainability of such increases and indicated plans to explore other insurance options in the future to ensure the best value for employees and taxpayers.

As the city prepares for the next budget cycle, officials acknowledged the need to account for potential increases in medical premiums and the importance of timely data to make informed decisions. The discussion underscored the challenges faced by municipalities in managing healthcare costs amid rising utilization and inflation trends.

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